28 March 2018
During a routine inspection
Home Healthcare is an independent care agency providing personal care support to people living in their own homes. At the time of our inspection there were approximately 21 people using the service. The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At our last inspection of the service on 11 and 12 May 2017 we found breaches of regulations and took enforcement action serving a warning notice on the provider and registered manager, requiring them to address concerns we had identified. This was because medicines were not always managed and administered safely. Risk assessments were not detailed and did not provide guidance for staff to ensure people's safety and well-being. Staff recruitment systems were not consistently applied. Care plans and records lacked detail. Systems and processes in place to assess, monitor and improve the quality of the service were not established and operated effectively. At this inspection we found significant improvements had been made, the warning notice had been met and all required actions had been completed.
Medicines were managed and administered safely. There were safeguarding policies and procedures in place and staff knew what actions to take to protect people from harm. Risks were assessed, managed and reviewed to ensure people’s needs were safely met. Detailed guidance for staff on managing risk and needs were appropriately documented. Appropriate recruitment checks took place before staff started work and there were enough staff to meet people’s needs. There were systems in place to ensure people were protected from the risk of infections.
Assessments of people’s care and support needs were conducted and documented. Staff completed an induction when they started work and received appropriate training. Staff were aware of the importance of seeking consent and demonstrated good knowledge of the Mental Capacity Act 2005. There were arrangements in place to comply with the Mental Capacity Act 2005. People were supported to meet their nutritional needs where appropriate and people were supported to access health and social care professionals when required.
People told us staff were caring and respectful. People were consulted about their care and were provided with information about the service that met their needs. People received personalised care that met their diverse needs. People knew about the provider’s complaints procedure.
There were systems in place to assess and monitor the quality of the service provided. The provider took into account the views of people using the service and staff. There was an out of hours on call system in operation that ensured management support and advice was always available.